Saturation assay

ABSTRACT

A modified form of saturation assay is provided that is based on the measurement of a free or unbound labelled reagent fraction (such that there is an increase in signal in the presence of analyte) and employs trapping zones to concentrate said unbound or free labelled faction to avoid loss of sensitivity. Preferably the assay is a membrane assay.

REFERENCE TO RELATED APPLICATIONS

This application is a divisional of application Ser. No. 12/514,397,filed May 11, 2009, which is the US national phase entry ofPCT/GB2007/004290, filed Nov. 9, 2007, which claims priority to UKpatent application no. GB 0622404.2, filed Nov. 10, 2006.

FIELD OF INVENTION

The present invention relates to an improved assay for detection ofanalytes in a sample.

In particular, the invention relates to assay devices, kits comprisingmeans for conducting such an assay, and an assay method for thedetection of analyte in a sample based on binding competition, generallybetween analyte and analyte analog for binding sites on ananalyte-binding reagent.

BACKGROUND

Binding assays are a well-established technique for detecting andquantifying analytes in samples. They are particularly useful fordetecting and/or measuring substances in biological samples as an aid todisease diagnosis and prognosis, and for predicting a patient's responseto therapy. Often they take the form of immunoassays in various formatsin which the analyte-binding reagent is an antibody or functionalfragment thereof.

The majority of such assays are based on the 2-site or “sandwich”format, which is very useful for analytes that can bind to 2 or moreantibodies or receptors simultaneously, but are unsuitable for haptens(which, because of their size, can often only bind to one antibody at atime). For hapten assays, it is usually necessary to utilizesaturation-type assays which are typically used for antigen-antibodyassays. These are assays whereby sample analyte competes with a fixedquantity of reagent analyte (or analyte analogue, which has beenchemically modified such that it is, for example, detectable orimmobilized) for a limited number of binding sites on an analyte-bindingreagent (e.g. antibody). In saturation assays, the total number ofanalyte and analyte-analogue molecules is greater than the total numberof binding sites on the analyte binding reagent.

These assays can be direct competition format (where sample analyte,analogue and analyte-binding reagent react simultaneously) or indirectcompetition format (whereby the sample analyte and analyte-bindingreagent are allowed to interact together first, and then reacted withthe analyte analogue). This latter format is also known as a sequentialor back-titer assay. Competition assays generally utilize an analyteanalogue labelled with a detectable signal moiety and an unlabelledantibody (frequently attached to a solid phase). The closely-related1-site immunometric format generally utilizes an antibody labelled witha detectable moiety and an analyte analogue immobilized onto asolid-phase.

The amount of analyte analogue that becomes bound to the analyte bindingreagent will thus be inversely proportional to the amount of analyte insample and by detecting the amount of bound analyte analogue (forcompetition assays) or bound analyte binding reagent (for 1-siteimmunometric assays) the presence and/or amount of analyte in a samplecan be determined. Detection of a decrease in signal is more difficultthan an increase in signal from a negative background, and frequentlyresults in a loss of sensitivity, especially if detection is visual.Measurement of the free or unbound signal overcomes this, but usuallythe free fraction is present in a larger volume and is diffuse, againresulting in a loss of sensitivity.

There is a growing need for assays to be performed closer to thepatient, primarily to shorten the time taken to provide results. Suchassays are known as Point-of-Care assays, and typically need to berobust and simple to perform since they are carried out in anon-laboratory setting, frequently by non-skilled staff. Ideally, theyshould be fully self-contained and require no ancillary equipment (withthe possible exception of a reader). Point-of-Care assays need similarsensitivity to laboratory-based assays if they are to have any clinicaluse. However, conventional immunoassays often comprise complex protocolsand detection systems, meaning that they are often unsuitable forpoint-of-care type use.

Specific Point-of-Care assays have been developed. The most common arelateral flow assays. Often, these are based on a labelled mobilecomponent (e.g. colored particle-labelled antibody), an immobilizedcomponent (e.g. antibody stripe or dot) and a membrane through whichsample is caused to move by capillary action. In the presence ofanalyte, a “sandwich” is formed at the immobilized antibody capturezone, leading to development of a colored line or dot. Conventionallateral flow assays are exemplified by, for example, U.S. Pat. No.5,656,503 (Unilever Patent Holdings B.V). These assays specify animmobilized antibody capture zone, albeit in a lateral flow format asopposed to the radial format taught by Geigel et al (1982, Clin Chem 28:1894).

The basic lateral flow format has been modified to enablecompetition-type assays to be performed. Thus modified lateral flowassays may be based on a labelled mobile component (e.g. coloredparticle-labelled antibody), an immobilized component (e.g. an analyteanalogue in the form of a stripe or dot) and a membrane through whichsample is caused to move by capillary action. In the absence of analyte,the antibody-labelled particle will bind to the immobilized analyteanalogue, leading to development of a colored line or dot, in thepresence of analyte, the binding sites on the antibody will be occupiedsuch that the binding of the particle-labelled antibody is reduced orabolished, with a concomitant reduction or abolition of color. Such anassay is taught, for example, by Biosite (U.S. Pat. No. 5,143,852).Detection of the decrease in color, however, can be problematical asdescribed above.

Lateral flow assays offer many advantages, including speed, convenience,and relatively low cost. However, they have several drawbacks. Thecapture component (e.g. antibody) is generally immobilized by adsorptiononto the membrane, so variations in membrane and/or antibody batch canlead to variations in the amount of antibody immobilized.

Further, some of the antibodies may be only loosely bound and can becomemobile when the fluid front passes, leading to loss of signal. Also,since one antibody is immobilized, the only time for it to react withthe analyte is as the sample flows past, so sensitivity can be reduceddue to the short incubation time. It is also necessary to producespecific coated membranes for each analyte, thus increasingmanufacturing costs.

Attempts have been made to address these disadvantages by avoiding theuse of an immobilized capture antibody. For example, EP 297292 (Miles),EP 310872 (Hygeia Sciences), and EP 0962771 (Mizuho) describe systemsinvolving a membrane with a trapping zone in conjunction with 2antibody-coated particles, one unlabelled but large such that it istrapped by the zone, the other small and labelled which can pass throughthe zone. In the presence of analyte, the small beads become bound tothe trapped large beads, leading to formation of a colored line.Although these methods avoid the use of a pre-immobilized captureantibody, they require two populations of antibody-coated particles inaddition to a trapping zone. Frequently such particles are hydrophobicin nature, and thus can be caused to aggregate in a non-specific mannerin the presence of biological fluids.

Others have attempted a simpler format, whereby antibody-coatedparticles capable of free movement through a membrane are caused toagglutinate in the presence of analyte such that their movement ishalted. Such agglutination-based immunoassays are known in the art, andrely upon agglutination of particles to which an antigen or antibody isbound to indicate the presence of the corresponding antibody or antigenin a sample. In one of the simpler forms of an agglutination assay,antibodies to a particular analyte are bound to a bead or other visiblematerial.

In particular, U.S. Pat. No. 4,666,863 (Amersham) discloses a method forseparating free and bound label by chromatographic means. In onevariant, they teach separation of agglutinated and non-agglutinatedantibody-coated colored particles using flow along a membrane. Prior toseparation, the reaction mixture is reacted with a cross-linking agentto stabilize the agglutinate. EP 293779 (Daiichi) also discloses acolored latex agglutination reaction, where agglutinated andnon-agglutinated particles are separated by a capillary which allowsnon-agglutinated latex through but traps the aggregates. EP 280559(Kodak) describes an assay for multivalent analytes whereby in theabsence of analyte label can pass through a filter, but in the presenceof analyte an agglutinate is formed which is trapped. U.S. Pat. No.6,472,226 (Genosis) describes a lateral flow assay without immobilizedantibody for very large analytes. They describe a two-zone system, onehaving large pores and one having small pores, such that analyte canpass through the large pores but becomes trapped on reaching the zone ofsmall pores. This is used in conjunction with a small label (e.g. goldsol to which antibody is attached) which can pass through both zones. Inthe presence of analyte, a fraction of the antibody-labelled gold solbecomes bound to the analyte and becomes trapped at the small pore zone.

In the main, these agglutination-based assays are restricted to thedetection of large analytes with multiple epitopes which enable theformation of large, stable agglutinates. Their effectiveness withsmaller analytes having fewer epitopes, or where only a limited numberof available epitopes are being used, can be compromised as the reducednumber of binding events may result in a weakened aggregate and loss ofsensitivity.

An alternative is the so-called membrane agglutination system (PlatformDiagnostics, GB patent application 0523124.6), which is based onimmunoagglutination within a capillary membrane such that in thepresence of analyte, an agglutinate containing a labelled signal moietyis formed which becomes trapped and generates a detectable signal. Thetechnology is an improvement over earlier systems such as that developedby Amersham International plc, but there remain some aspects that couldbe improved further. First, the “line” formed by the trapped agglutinateis somewhat broad. Whilst in itself not a problem, it differs slightlyfrom that observed in the more common conventional lateral flow assays.This is likely a result of the system having to accommodate the trappingof particle agglutinates of varying sizes, with the smaller onesprobably migrating further into the trapping zone. Secondly, anyaggregates present in the labelled particle preparation caused bynon-analyte mediated interactions may cause a background signal andfalse-positive results (the same applies to conventional lateral flowassays). Although this can be overcome by suitable conditions forpreparing and applying the particles, it would be advantageous to have asystem which avoided the need for this, simplifying manufacture andmaking a more robust system.

In the main, however, prior art membrane agglutination assays arereliant on the sandwich principle to promote an agglutination reaction.Competition or agglutination-inhibition assays (e.g. haemagglutinationinhibition assays for the early pregnancy tests) are known in the art,but have mainly been restricted to assays performed on a slide or in areaction well and where the agglutination is detected visually byobserving a change in the pattern of the particles. Since there is noseparation of agglutinated and non-agglutinated particles there is norequirement for the formation of strong, stable agglutinates as they arenot exposed to strong shear forces, such as capillary forces.

Attempts have been made to perform competition membrane agglutinationassays that detect the free or non-agglutinated fraction of particles toavoid the need to detect a reduction in signal at the separation zone.Angenics Inc (U.S. Pat. No. 4,459,361) describe a particleimmunoagglutination system whereby agglutinated and non-agglutinatedparticles are separated by a filter, and one can measure either anincrease in the filtrate (non-agglutinated) or decrease in the retentate(agglutinated) fractions. Akers (EP 556202) describes a similar systemin which a test mixture is formed by contacting the sample with coloredparticles having analyte-specific receptors on their surface. The testmixture is passed through a filter having pores which are larger thanthe colored particles but smaller than the particle-analyte aggregates,thus causing trapping of the aggregates. Presence of analyte in themixture is determined by checking the color of the filtrate.

An important further problem with the majority of competition assays ofthe prior art, including many of the competition membrane agglutinationsystems described, is that the end point is a reduction in signal of thebound label. Whilst this can be accurately assessed usinginstrumentation to quantify the signal, it is more difficult to achievewith an assay relying on visual detection (e.g. the Majority ofPoint-of-Care assays), especially at low analyte concentrations wherethe reduction in signal is small. Assays relying on such signalreduction are therefore not popular for such applications. The membraneagglutination systems that measure the non-agglutinated or freefractions suffer from the diffuse signal, and thus a loss ofsensitivity, common to measurements of the free fraction in other assayformats.

A competition membrane agglutination format has been devised utilizingantibody-labelled signal particles and analyte- or analyteanalogue-coated hubs (or vice versa) which overcomes the drawbacks ofthe prior art. In the absence of sample analyte, the hub moleculescross-link the labelled particles producing a stable agglutinate whichbecomes trapped in the membrane (and thus a colored line). In thepresence of sample analyte, some of the antibody sites will be occupiedand so the agglutination reaction (and thus signal) reduced orabolished.

Immunoassays are known in which an excess of labelled reagent isdetected at a so-called ‘test complete line’, a zone situated at the endof the assay strip comprising immobilized antibody or other bindingagent, designed to provide a positive control to confirm the correctflow of solvent and the presence of labelled detection particles.However, such indicators can only be used to reliably report thecompletion of the test in formats where the labelled reagent is alwaysin excess. They are not, therefore, suitable for saturation assayformats where, in the absence of analyte, most or the entire labelledreagent will be bound in the competition binding step.

STATEMENT OF INVENTION

The invention provides a modified form of saturation assay whichaddresses many of the issues with the current art. The invention isbased on measurement of the free or unbound labelled reagent fraction(such that there is an increase in signal in the presence of analyte),and employs mechanisms to concentrate said unbound, or free, labelledreagent fraction to avoid loss of sensitivity. Such saturation assaysmay be of any suitable format but are preferably membrane assays.

In particular, the invention provides a modified form of competitionassay format comprising the use of a secondary trapping zone, downstreamof a primary trapping zone, the secondary trapping zone being capable oftrapping unbound, or free, labelled reagent particles. Thus, in theabsence of sample analyte, essentially all the labelled reagentparticles are trapped at the primary trapping zone and the secondarytrapping zone will be clear. However, in the presence of sample analytesome of the labelled reagent particles remain unbound, or free, and sowill pass through the primary trapping zone to the secondary trappingzone, where they are then trapped causing the formation of a line.

As will be apparent to a skilled person, this principle of trapping andconcentrating the unbound fraction resulting from any saturation assayis applicable to any format of assay in which such a free fraction isseparable from the bound fraction, contains detectable signal(preferably visually detectable) and in which the size of such a freefraction is a measure of the original analyte to be measured. Theprinciple is applicable to agglutination assays, where the agglutinatedfraction is separated from non-agglutinated particles.

‘Saturation assay’ as used herein means any assay in which a specificanalyte-binding reagent (usually an antibody, but not necessarily) islimiting and there is an excess of analyte and/or analyte-analogue.

‘Competition assay’ is used in the sense of being one, widely used,version of saturation assay, in which an unlabelled antibody (or someother specific analyte-binding reagent) is used together with a labelledanalyte-analogue, which competes with a sample analyte for a limitednumber of binding sites.

An ‘analyte analogue’ is a reagent that competes with the analyte forbinding sites on the analyte-binding reagent. It may be simply analytethat is immobilized, labelled or chemically modified in some way, andtherefore distinguishable, or may be a synthetic or multivalentequivalent of the analyte, depending on the assay format.

In the case of a saturation agglutination assay, it is desirable to forma stable, detectable agglutination reaction within the porous carrier.Although reasonable agglutination can be achieved using large,multi-epitopic analytes where multiple binding events are possible, itcan be difficult to achieve stable agglutination with smaller analyteswhich may contain only a few epitopes. Indeed, for reasons ofspecificity, it is often desirable to only utilize one or two epitopeson an analyte.

To overcome this, a multivalent carrier molecule, otherwise known as ahub can be used, which comprises multiple binding partners (such asanalyte-analogue molecules) firmly bound to a carrier. The resulting hubcan then amplify the binding reaction. In this way it is possible toobtain strong, stable agglutination for small analytes and/or in thosesituations where only a restricted number of epitopes on the analyte areemployed, reducing the need for external stabilizing agents.

A multivalent analyte analogue, therefore, is any moiety presenting aplurality of binding sites for an analyte-binding reagent. One exampleis a hub molecule to which multiple analyte analogues are attached,conveniently by means of binding partners, such as antibodies.Alternatively, analyte analogues may be attached to hub molecules byother means, such as direct covalent bonding, chemical cross-linking oruse of other high affinity binding means such as avidin or streptavidinbinding of biotinylated molecules.

The amplification of the binding reaction is achieved by the use of amultivalent hub molecule. The hub may be formed of any suitablematerial, which is preferably uniform, stable and to which bindingpartners can be attached. The hub may be soluble or insoluble, althoughthe former is preferred. Examples of hubs include latex beadspolystyrene microparticles, glass beads, colloidal gold, cells, forexample red blood cells, fibrous materials such as cellulose, andmacromolecules such as polysaccharides and proteins. Preferred hubs arepolysaccharides, including dextran, preferably aminodextran, agarose,microcrystalline cellulose, starch. Other suitable materials includepolyethyleneimine, polyvinyltoluene, or styrenebutadiamine copolymers,polyacrolein microspheres, polyurethane, pollen particles,sporopollenin, polystyrene or polyvinylnapthalene cores surrounded byshells of polyclycidyl methacrylate, microcrystalline cellulose orcombinations thereof, polyvinyl alcohol, copolymers of hydroxyethylmethacrylate and methyl methacrylate, silicones and silica, glass,rubber, nylon, diatomaceous earth, silica, etc. Soluble hubs have theadvantage of low non-specific binding and increased flexibility, andincreased availability of groups for covalent coupling of antibodies orother binding molecules thereto. Preferred soluble hubs are solubleproteins and polysaccharides, including those described above and inparticular aminodextran and derivatives thereof. The size of the hub isdictated by factors such as the number of binding partners to beaccommodated on the surface, steric factors to ensure stability of thehub throughout the assay, and the nature of the porous carrier in whichthe assay is to be performed. For example, the hub is preferably smallenough to travel through the smallest pores of the membrane in theabsence of an agglutination event. Where the hub is formed of insolublebeads, these will be in the region of 0.03-10 μm diameter, preferably0.05 to 8 μm. For soluble hubs, these may be in the region of 250-2,500kDa, more preferably 500-2,500 kDa for example for aminodextranmolecules.

‘Analyte-binding reagent’ means any reagent capable of binding theanalyte in a specific and reproducible manner and with sufficientaffinity to allow the assay to function. In the majority of assays it isconvenient for the analyte-binding reagent to be an antibody oreffective antigen-binding fragment or derivative of an antibody.Monoclonal antibodies have the advantage of consistent and quantifiablebinding properties to defined epitopes. However, for many assay purposespolyclonal IgG fractions are more efficient, having a range of epitopespecificities that may be less sensitive to, for instance,conformational changes or steric constraints in the analyte. They alsoallow, for multi-epitopic analytes, binding to multiple epitopes withthe result that analyte molecules may be bound with high avidity.However, depending on the nature of the analyte, other cognate bindingmolecules may be used, such as receptors (for ligands), ligands orligand analogues (for receptors), aptamers, ribozymes orpolynucleotides.

It will be clear to one of skill in the art that, for some applicationsand assay formats, it is advantageous to use a multivalentanalyte-binding reagent, more preferably in the form of a hub presentingmultiple analyte-binding sites, rather than a multivalentanalyte-analogue. In many assay formats it is within ordinary skill todevise a variant in which the roles of analyte-analogue andanalyte-binding reagent are reversed in terms of which is immobilized,incorporated into a hub, labelled and/or attached to a signal particle,and such variants and adaptations are envisaged by the presentinvention.

‘Labelled reagent’ means a particle comprising a detectable moiety andan analyte-binding reagent (or alternatively an analyte oranalyte-analogue, depending on the format of the assay). Usually thedetectable moiety will be a visually-detectable moiety which allowsimmobilized concentrations of signal particles to be readily detected byeye. Other forms of detection, such a fluorescence, chemiluminescence,magnetism or radiolabelling are not excluded. The detectable moiety mayalso provide a means of immobilizing the labelled reagent. For example,labelled reagents comprising latex beads may be excluded from a trappingzone of capillary membrane of a pore size too small to allow the latexbead to pass through. The detectable moiety may be either biological ornon-biological. Examples of suitable moieties that may be used ascomponents of a labelled reagent include micro-organisms, cells,macromolecules, metal sol particles, beads, and charcoal, kaolinite, orbentonite particles. Most preferably, the signal particle comprisescolored latex beads. In a highly preferred embodiment the detectablemoiety is agglutinable.

A ‘trapping zone’ is any means of concentrating and immobilizing afraction, preferably by separation from the remaining fractions of thereaction mixture. Thus, at a trapping zone, a fraction of the reactionmixture such as the unbound fraction, may be separated from the reactionmixture by concentrating and immobilizing it at the zone while theremainder of the reaction mixture is allowed to continue past thetrapping zone. In this way, said fraction is excluded from downstreamflow. Thus, the trapping zone preferably comprises means for separationof one fraction from another.

The competitive binding step results in analyte bound to analyte-bindingreagent (often an antibody). In the case of an agglutination assay, theproduct is an insoluble complex of cross-linked analyte and one or moreforms of analyte-binding reagent, in which case this can be convenientlyseparated from unagglutinated free fraction by physical filtration. Inthe case of membrane-bound assay this may be achieved by the flow offluid passing into a membrane of a smaller pore size, suitable to trapsuch an insoluble multi-molecular complex, while allowing unagglutinatedanalyte and labelled analyte-binding reagent to pass through. Such afeature may be termed a primary trapping zone. The primary tapping zonemay also trap any aggregates formed by non-analyte mediated means whichotherwise could cause a false reaction.

‘Secondary trapping zone’ means any means of concentrating andimmobilizing the unagglutinated or unbound fraction resulting from acompetitive binding step. A secondary trapping zone may be placeddownstream, or distal, to such a primary trapping zone in order toconcentrate and immobilize the unbound or free fraction of labelledreagent as hereinbefore described. The secondary trapping zone may alsoconcentrate and immobilize unagglutinated analyte. The labelled reagentmay, apart from allowing visual detection, provide a physical means ofimmobilization of unagglutinated particles at the secondary trappingzone. These may comprise, for example, particles of colloidal gold orlatex beads, which may be trapped by a secondary trapping zonecomprising a further membrane of smaller pore size than that used forthe primary trapping zone, and which is suitable to trap the size oflabelled reagent particles used.

Other formats of assay involve a primary trapping zone that has a directbinding function. In the case of simple capture assays this may compriseimmobilized antibodies (or other analyte-binding reagent).Alternatively, 1-site competition assays use immobilized analyte oranalyte-analogue to bind labelled antibody. In either case, a functionalprimary trapping zone immobilizes the one product of the competitivebinding step, allowing a free fraction to pass through. In the case ofsuch assays, the secondary trapping zone may comprise a further zone ofimmobilized analyte-binding reagent, analyte, analyte-analogue, or otherbinding moiety which will immobilize the free signal reagent asappropriate to the format used.

Preferably, a fraction is trapped at the primary and/or secondarytrapping zones without binding, for example by restricting its flowthrough the trapping zone by filtering on the basis of size or otherphysical parameters such as charge. Preferably, the primary and/orsecondary trapping zones are non-immunological, meaning that they do notcomprise immunological binding agents to trap the fraction. Trappingzones which do not have a binding function have the advantage that thereis no limitation to the amount of fraction trapped, as there would be ifbinding agents such as antibodies were used to trap the fraction. Thishas the result of reducing the amount of residual fraction which passesthrough the trapping zone, and therefore reduces the ‘background’ signalbeyond the trapping zone.

Accordingly, the invention provides a method of performing a saturationbinding assay for detecting an analyte in a sample, characterized inthat the method comprises a step in which an unbound free fraction of alabelled reagent from a competitive binding event becomes concentratedat a designated trapping zone. Preferably, the labelled reagentcomprises a detectable moiety.

Preferably, the saturation binding assay is an immunoassay comprisingthe steps:

-   -   a. competitive binding of the analyte and an unlabelled analyte        analogue for a limiting amount of a labelled analyte-binding        reagent;    -   b. separation of the fraction of labelled analyte-binding        reagent bound to analyte analogue from the free fraction of        labelled analyte-binding reagent which is not so bound;    -   c. immobilization and concentration of the free fraction of        analyte-binding reagent; and    -   d. detection of immobilized and concentrated free fraction of        labelled analyte-binding reagent.

Alternatively, the immunoassay comprises the steps:

-   -   a. competitive binding of the analyte and a labelled analyte        analogue for a limiting amount of an unlabelled analyte-binding        reagent;    -   b. separation of the fraction of labelled analyte analogue bound        to the analyte-binding reagent from the free fraction of        labelled analyte analogue which is not so bound;    -   c. immobilization and concentration of the free fraction of        labelled analyte analogue; and    -   d. detection of immobilized and concentrated free fraction of        labelled analyte analogue.

In a preferred embodiment, the saturation immunoassay is anagglutination assay comprising the steps:

-   -   a. competitive binding of the analyte and an unlabelled        multivalent analyte analogue to a limiting amount of a labelled        analyte-binding reagent;    -   b. separation of agglutinated and non-agglutinated fractions of        labelled analyte-binding reagent;    -   c. immobilization and concentration of the non-agglutinated        fraction of labelled analyte-binding reagent; and    -   d. detection of immobilized and concentrated labelled        analyte-binding reagent.

Alternatively the agglutination assay comprises the steps:

-   -   a. competitive binding of the analyte and a labelled multivalent        analyte analogue to a limiting amount of an unlabelled        analyte-binding reagent;    -   b. separation of agglutinated and non-agglutinated fractions of        labelled multivalent analyte analogue;    -   c. immobilization and concentration of the non-agglutinated        fraction of labelled multivalent analyte analogue; and    -   d. detection of immobilized and concentrated non-agglutinated        fractions of labelled multivalent analyte analogue.

Preferably, bound or agglutinated and free or non-agglutinated fractionsare separated by means of immobilization of the bound or agglutinatedfraction. More preferably, the bound fraction is immobilized by means ofa capillary membrane of a pore size that excludes the bound fraction.Alternatively the bound fraction is immobilized by an immobilizedanalyte-binding reagent, binding partner or other cognate ligand. Ineither case, the bound fraction is effectively immobilized at a primarytrapping zone.

In an alternative embodiment, the agglutinated and non-agglutinatedfractions are separated chromatographically by means of solvent flowthrough a porous membrane. This embodiment dispenses with a discretespecific primary trapping zone, which immobilizes the agglutinatedfraction, by using a suitable capillary membrane to separateagglutinated and non-agglutinated fractions on the basis of theirparticle size. The rate at which particles move with a fluid flowthrough a capillary membrane is in inverse proportion to their size.Accordingly, the rate at which agglutinates pass through a reaction zonedepends upon their size, with large agglutinates moving slowly andsmaller agglutinates and single particles moving more rapidly. In alateral flow format assay, capillary flow proceeds until the solventfront reaches the end of the capillary membrane, when flow of both fluidand particles will cease, with the distance traversed by the particlesdependent on the size of the aggregate. Thus, by placing the “secondary”trapping zone (i.e. a region that will trap all particles andagglutinates) at a location along the membrane distal to that reached bythe large agglutinates produced in the absence of analyte, a signal willonly develop at the trapping zone in the presence of analyte.

This chromatographic format has all the advantages of the otherembodiments of the invention with the further improvement that nomodified primary trapping zone (i.e. change in membrane pore size, orbound antibody or other reagents) is required and thus manufacturing issimplified and cheaper.

An additional advantage of this format is that it affords improvedsensitivity. A physical primary trapping zone may trap both largeagglutinates formed in the absence of analyte, and the slightly smalleragglutinates produced in the presence of low levels of analyte. It canbe difficult to select a material for the primary trapping zone whichcan clearly distinguish between the two. However, by using a kinetic,chromatographic format and placing the secondary trapping zone at asuitable location it is possible to discriminate and thus detect lowerlevels of analyte.

For any of the embodiments described, the unagglutinated or unbound freefraction of labelled reagent may be immobilized and concentrated bymeans of a secondary trapping zone comprising a capillary membrane of apore size that excludes or traps the labelled reagent.

Alternatively, the secondary trapping zone may comprise an immobilizedanalyte-binding reagent or other cognate binding partner or ligandcapable of sufficiently high affinity binding to effectively immobilizethe free fraction of unagglutinated or unbound labelled reagent andproduce a visually detectable indication, such as a colored line orzone. The nature and color of the visual signal depends upon the natureof the label attached to the reagent. Colloidal gold, latex particles orother chromogenic labels may be used. Such attached labels, as well asproviding the visual signal, may also provide the means of trapping byforming signal particles of convenient dimensions.

In either alternative, the result is a secondary trapping zone thatprovides a convenient visual indication of the original presence and/orconcentration of a selected analyte. The amount of labelled reagenttrapped or bound at the secondary trapping zone is, within limitsdetermined by amount of analyte and capacity of the individual assay,proportional to the original analyte concentration being measured.

The method, assay, kit and device of the invention are suitable fordetection of any analyte capable of being bound by an analyte-bindingreagent. Preferred analytes include proteins, glycoproteins, peptides,or polypeptides, carbohydrates, haptens and nucleic acids. Particularlypreferred biologically relevant examples include antibodies, hormones,hormone receptors, antigens, growth factor receptors, vitamins,steroids, metabolites, aptamers, whole organisms (such as fungi,bacteria, viruses, protozoa and multicellular parasites), therapeutic ornon-therapeutic drugs, or any combination or fragment thereof. Where thedetectable analyte is an antibody, the analyte binding reagent may be anantigen, antigen-analogue, hapten, hapten-analogue or a second antibodywith specificity for the antibody to be measured.

Preferably, the analyte may be an immunologically active protein orpolypeptide, such as an antigenic polypeptide or protein. Most preferredanalytes for detection by the present invention include hCG, LH, FSH,and antibodies to HIV.

It is envisaged that the present invention may be used for the detectionof two or more analytes in a single assay, preferably even a singlesample. Thus, in any assay, two or more secondary trapping zones may beprovided, each being specific for trapping a particular labelledreagent. The labelled reagents may be distinguishable by any suitablemeans, for example, color.

In a further aspect, the invention provides a kit for performing asaturation assay for detection of an analyte in a sample, the kitcomprising:

-   -   a. means for separating bound and unbound fractions of a        competitive binding step; and    -   b. a secondary trapping zone.

Preferably the kit further comprises a porous carrier.

More preferably, the means for separating bound and unbound fractions ofa competitive binding step comprises a primary trapping zone.

In one preferred embodiment the saturation assay is an agglutinationimmunoassay and the primary trapping zone comprises a means forimmobilizing an agglutinated fraction. Preferably the primary trappingzone comprises a capillary membrane of a pore size that excludes thebound or agglutinated fraction.

Alternatively, the means for separating bound and unbound fractions of acompetitive binding step comprises a capillary membrane of a pore sizethat allows chromatographic separation of bound and unbound products onthe basis of particle size. In a highly preferred embodiment thecompetitive binding step is an agglutination step and thechromatographic separation separates agglutinated complexes fromunagglutinated components.

Preferably, the kit comprises a labelled reagent, as hereinbeforedescribed.

It is preferred that the secondary trapping zone comprises means toimmobilize and concentrate a free fraction of labelled binding reagent.In one embodiment the secondary trapping zone comprises a capillarymembrane of a pore size that excludes free or unagglutinated labelledreagent. Alternatively, the secondary trapping zone may comprise animmobilized analyte-binding reagent or other cognate binding partner orligand capable of sufficiently high affinity binding to effectivelyimmobilize the free or unagglutinated fraction and produce a visuallydetectable indication, such a colored line or zone.

Preferably the kit further comprises:

-   -   a. a multivalent analyte analogue, preferably comprising a hub,        to which two or more analyte-analogue moieties are bound; and    -   b. two or more labelled analyte-binding reagents capable of        binding said analyte-analogue moieties

Alternatively, the kit further comprises:

-   -   a. a hub to which two or more analyte-binding reagents are        bound; and    -   b. two or more labelled analyte-analogue moieties capable of        binding said analyte-binding reagents.

Preferably the kit further comprises one or more further componentsselected from the list consisting of: buffers, application means (suchas pipettes), instructions, charts, desiccants, control samples, dyes,batteries and/or signal processing/display means.

It is also preferred that the porous carrier is a solid matrix,preferably fibrous.

More preferably, the pore size upstream of the primary trapping zone issufficient to allow free movement of the hub, labelled reagent, sampleand any bound fraction or agglutinate.

In a final aspect, the invention also provides a device for performing asaturation assay for detection of an analyte within a sample, the devicecomprising a carrier having a proximal end for receiving a sample, and adistal end toward which a sample may travel along the carrier, whereinthe carrier comprises:

-   -   a. a primary trapping zone comprising means which exclude a        bound fraction, and    -   b. a secondary trapping zone comprising means which exclude a        labelled reagent.

Preferably, the carrier is porous. Preferably, the primary and/orsecondary trapping zones comprise a capillary membrane of a pore sizewhich excludes a bound fraction or labelled reagent, respectively.

Preferably the device further comprises, in a dried, reconstitutableform, a hub to which two or more analyte-binding reagents or,alternatively, analyte-analogue moieties, are bound. The device ispreferably housed in a casing, or receptacle, which more preferably willbe hand-held.

BRIEF DESCRIPTION OF THE FIGURES

The present invention will be described below by way of non-limitingexamples, and with reference to the drawings, in which:

FIG. 1 shows the assembly of test strips with a primary agglutinatetrapping membrane.

FIG. 2 shows the assembly of test strips with a chromatographicagglutinate separation membrane.

FIG. 3 shows a photograph of positive vs. negative example test results.

DETAILED DESCRIPTION Example 1 Preparation of Antibody-CoatedPolystyrene Microparticles

1. Combine 100 μl 200 nm blue polystyrene microparticles 10% solids(‘latex’) (Polymer Labs, Shropshire, UK), 200 μl absolute ethanol, 43 μlsheep FITC antiserum (Micropharm, Carmarthenshire, UK) and 657 μl 10 mMphosphate buffer pH 7.4.

2. Incubate at room temperature for 2 hours, with gentle agitation, toallow antibody adsorption to occur.

3. Add 200 μl 6% BSA in 10 mM phosphate buffer pH 7.4 and continueincubation with agitation for 1 hour.

4. Centrifuge adsorption mixtures for 20 minutes at 4000 g, followed by5 minutes at 8000 g, to form a soft latex pellet.

5. Remove supernatant and replace with 1 ml latex dilution buffer (OmegaDiagnostics, Alva, UK). Gently resuspend pellet.

6. Collect latex pellet by centrifugation and wash as described in 5.

7. Repeat step 6 twice further and finally resuspend latex pellet in 900μl latex dilution buffer.

8. Adjust latex solids to 1% w/v, by comparison with a standard dilutionseries, assessed by light absorbance at 690 nm.

9. Confirm antibody adsorption by slide agglutination assays, mixing 2μl 1% solids anti-FITC latex with 1 μl FITC-dextran 10-300 ng/μl in 10mM phosphate buffered saline pH 7.4 (Sigma-Aldrich, FD2000S).

Example 2 Preparation of Antibody-Coated Polystyrene Microparticles

1. Combine 100 μl 200 nm blue polystyrene microparticles 10% solids(‘latex’) (Polymer Labs, Shropshire, UK), 200 μl absolute ethanol, 750μg mouse IgG (Sigma, 15381) in 10 mM phosphate-buffered saline pH 7.4,11O μg anti-hCG (Medix Biochemica, Kauniainen, Finland, clone #5006) in10 mM phosphate-buffered saline pH 7.4. Adjust volume to 1 ml with 10 mMphosphate buffer pH 7.4.

2. Incubate at room temperature for 2 hours, with gentle agitation, toallow antibody adsorption to occur.

3. Add 200 μl 6% BSA in 10 mM phosphate buffer pH 7.4 and continueincubation with agitation for 1 hour.

4. Centrifuge adsorption mixtures for 10 minutes at 3500 g to form asoft latex pellet.

5. Remove supernatant and replace with 1 ml latex dilution buffer (OmegaDiagnostics, Alva, UK). Gently resuspend pellet.

6. Collect latex pellet by centrifugation for 20 minutes at 8000 g andwash pellet as described in 5.

7. Repeat step 6 twice further and finally resuspend latex pellet in 500μl latex dilution buffer.

8. Adjust latex solids to 1% w/v, by comparison with a standard dilutionseries, assessed by light absorbance at 690 nm.

9. Confirm antibody adsorption by slide agglutination assays, mixing 2.5μl 1% solids of the ‘test’ latex prepared here, with an equal quantityof ‘control’ latex coated with an appropriate antibody ‘sandwichpartner’ (prepared and validated previously using the same method), plus5 μl hCG solution 0-250 IU/ml in ‘synthetic urine’ (i.e. approx. 4.5 g/lKCl, 7.5 g/l NaCl, 4.8 g/l sodium phosphate (monobasic), 18.2 g/l urea,2 g/l creatinine, 50 mg/l HSA) (hCG concentration value assigned against4th I.S., NIBSC).

Example 3 Preparation of hCG Hub Reagent

1. Desalt the anti-hCG (alpha-subunit) into 0.1 M phosphate pH 7.5buffer, using a 1.6×15 cm G25M Sephadex column, and determineconcentration and yield.

2. Activate the anti-hCG antibody, using 8 molar equivalents ofNHS-PEG-MAL. Incubate the reaction mixture at 20° C. for two hours.Quench the reaction with 100 molar equivalents of glycine and desalt themaleimide-activated anti-hCG into 5 mM EDTA, PBS pH 7.3 buffer using twoshots down a 1.6×15 cm G50F Sephadex column. Determine concentration andyield of activated antibody.

3. Activate a 500 kDa aminodextran using 1000 molar equivalents of2-Iminothiolane (2-IT). Incubate the reaction mixture at 20° C. for 110minutes. Desalt the thiol activated aminodextran into 5 mM EDTA, PBS pH7.3 buffer, using G25M Sephadex media. Determine incorporation ratio ofthiol:aminodextran using the Ellman's assay.

4. Add 25 Molar equivalents of the maleimide-activated anti-hCG antibodyto the thiol-activated aminodextran and incubate the reaction mixture at15° C. for 16 hours. Quench the reaction mixture with 1000 equivalentsof N-ethylmaleimide. Purify the conjugate on a 2.6×50 cm Superdex 200PGcolumn using 50 mM PBS pH 7.2 buffer as eluant Determine theconcentration and yield of conjugate, then filter through a 0.21 μmMinisart filter.

5. Finally, ‘pre-saturate’ the anti-hCG aminodextran conjugate with hCG,by combining 70 μl anti-hCG aminodextran conjugate (21.6 ng/μl) with 30μl hCG solution (178.5 IU/ml in ‘synthetic urine’ (i.e. approx. 4.5 g/lKCl, 7.5 g/l NaCl, 4.8 g/l sodium phosphate (monobasic), 18.2 g/l urea,2 g/l creatinine, 50 mg/l HSA) and incubate for 30 minutes at 4° C.

Example 4 Preparation of Test Strips with a Primary Agglutinate TrappingMembrane

Membrane materials were cut to size as follows:

1. Wick, e.g. Conjugate release pad 8964 (Ahlstrom), 20 mm×50 mm.

2. Primary agglutinate trapping membrane, e.g. Fusion 5 (Whatman), 4mm×50 mm.

3. Intermediate membrane, e.g. Conjugate release pad 8964 (Ahlstrom), 10mm×50 mm.

4. Free fraction concentration membrane, e.g. Z-bind PES membrane 0.2 μm(PALL), 3 mm×50 mm.

5. Absorbent sink, e.g. Absorbent Pad 222 (Ahlstrom), 50 mm×50 mm.

6. Self-adhesive plastic (×2), e.g. 0.04″ Clear polyester with D/Chydrophilic PSA (G&L) 70 mm×100 mm.

A composite ‘card’ of the above materials was assembled as shown inFIG. 1. Adjacent membrane materials were aligned, as shown, to ensuregood fluid transfer between successive sections of the strip. The secondsheet of self-adhesive plastic was applied firmly to the upper surface,leaving approximately 10 mm of the wick exposed, to allow application ofsample/reagents. The resulting ‘card’ was sliced into 4 mm strips andany excess plastic trimmed.

Example 5 Preparation of Test Strips with a Chromatographic AgglutinateSeparation Membrane

Membrane materials were cut to size as follows:

1. Wick/separation membrane, e.g. Conjugate release pad 8964 (Ahlstrom),100 mm×50 mm.

2. Free fraction concentration membrane, e.g. Z-bind PES membrane 0.2 μm(PALL), 4 mm×50 mm.

3. Absorbent sink, e.g. Absorbent Pad 222 (Ahlstrom), 10 mm×50 mm.

4. Self-adhesive plastic (×2), e.g. 0.04″ Clear polyester with D/Chydrophilic PSA (G&L) 70 mm×120 mm.

A composite ‘card’ of the above materials was assembled as shown in FIG.2. Adjacent membrane materials were aligned, as shown, to ensure goodfluid transfer between successive sections of the strip. The secondsheet of self-adhesive plastic was applied firmly to the upper surface,leaving approximately 10 mm of the wick exposed, to allow application ofsample/reagents. The resulting ‘card’ was sliced into 4 mm strips andany excess plastic trimmed.

Example 6 Test for Fluorescein using Test Strips with a PrimaryAgglutinate Trapping Membrane

1. Anti-FITC latex 2 μl of 1% w/v solids (prepared in house as describedin Example 1) was mixed with 1 μl of fluorescein solution and incubatedat room temperature for 10 minutes.

2. FITC-dextran ‘hub’, 1 μl of 30 ng μl in phosphate buffered saline pH7.4, was added to the above mixture and incubated for a further 5minutes.

3. The above reaction mixture was then applied to the proximal ‘wick’end of a test strips with a primary agglutinate trapping membrane(assembled as described in Example 4), followed by approximately 300 μllatex dilution buffer (Omega Diagnostics, Alva, UK), which was appliedin 3 shots of 100 μl.

The following results, read at the free fraction concentration membrane,were obtained:

TABLE 1 Fluorescein conc. ng/μl Signal Experiment 1 0 − 0.1 +/− 0.3 +1 + 3 + 10 + 30 + 100 + Experiment 2 0 +/− 1 ++ 3 ++ 10 ++ 30 ++ 100 ++300 ++

Example 7 Test for Fluorescein using Test Strips with a ChromatographicAgglutinate Separation Membrane

Tests were performed as described in Example 6, using test strips with achromatographic agglutinate separation membrane (prepared as describedin Example 5). The following results, read at the free fractionconcentration membrane, were obtained:

TABLE 2 Fluorescein conc. ng/μl Signal Experiment 1 0 − 0.03 +/− 0.1 +/−0.3 ++ 1 ++ 3 ++ 10 ++ Experiment 2 0 − 0.03 +/− 0.1 +/− 0.3 + 1 + 3 ++10 ++

Example 8 Test for Anti-FITC using Test Strips with a PrimaryAgglutinate Trapping Membrane

1. Sheep FITC antiserum was diluted (as indicated below) in normal sheepserum (Micropharm, Carmarthenshire, UK).

2. 1 μl of each diluted antiserum was mixed with 1 μl FITC-dextran ‘hub’(10 ng/μl in phosphate buffered saline pH 7.4) and incubated at roomtemperature for 10 minutes.

3. 2 μl of anti-FITC latex 1% w/v solids (prepared in house as describedin Example 1) was added to the above mixture and incubated for a further5 minutes.

4. The above reaction mixture was then applied to the proximal ‘wick’end of a test strip with a primary agglutinate trapping membrane(assembled as described in Example 4), followed by approximately 300 μlphosphate buffered saline pH 7.4, which was applied in 3 shots of 100μl.

The following results, read at the free fraction concentration membrane,were obtained:

TABLE 3 FITC antiserum dilution Signal 0 +/−  1:10 + 1:3 + 1:1 +

Example 9 Test for Anti-FITC using Test Strips with a PrimaryAgglutinate Trapping Membrane

1. Sheep FITC antiserum was diluted (indicated below) in normal sheepserum (Micropharm, Carmarthenshire, UK).

2. 1 μl FITC-dextran ‘hub’ (30 ng/μl in phosphate buffered saline pH7.4) was mixed with 1 μl of a 1:100 FITC antiserum and pre-incubated atroom temperature for 10 minutes.

3. 1 μl of each diluted antiserum was added to 2 μl pre-incubatedFITC-dextran ‘hub’ (above) and incubated at room temperature for 10minutes.

4. 2 μl of anti-FITC latex 1% w/v solids (prepared in house as describedin Example 1) was added to the above mixture and incubated for a further5 minutes.

5. The above reaction mixture was then applied to the proximal ‘wick’end of a test strip with a primary agglutinate trapping membrane(assembled as described in Example 4), followed by approximately 300 μlphosphate buffered saline pH 7.4, which was applied in 3 shots of 100μl.

The following results, read at the free fraction concentration membrane,were obtained:

TABLE 4 FITC antiserum dilution Signal 0 − 1:3000 − 1:1000 +/− 1:300 +/− 1:100  ++ 1:30  + 1:10  + 1:3   +

Example 10 Test for hCG using Test Strips with a Primary AgglutinateTrapping Membrane

1. Anti-hCG latex (2 μl) (prepared as described in Example 2) was mixedwith 2 μl of synthetic urine (see Example 3) containing hCG (‘sample’)and incubated for 10 minutes at room temperature.

2. Pre-saturated hCG hub reagent (4 μl) (prepared as described inExample 3) was combined with the above mixture and allowed to react for2-5 minutes.

3. The above reaction mixture was then applied to the proximal ‘wick’end of a test strip with a primary agglutinate trapping membrane(assembled as described in Example 4, with the exception that theprimary agglutinate trapping membrane size was reduced to 3 mm×50 mm),followed by approximately 300 μl latex dilution buffer (see above),which was applied in 3 shots of 100 μl.

The following results, read at the free fraction concentration membrane,were obtained:

TABLE 5 HCG concentration (IU/ml) Signal 0 +/− 0.25 +/− 0.5 +/− 6.25 ++62.5 +++

1. A kit for performing a saturation assay for detection of an analytein a sample, the kit comprising: a. a component for separating bound andunbound products of a competitive binding step; and b. a secondarytrapping zone
 2. A kit according to claim 1, further comprising a porouscarrier.
 3. A kit according to claim 1, wherein the component forseparating bound and unbound products of a competitive binding stepcomprises a primary trapping zone.
 4. A kit according to claim 1,further comprising a detectable moiety comprising at least one componentselected from the group consisting of: microorganisms, cells,macromolecules, metal sol particles, beads, charcoals, kaolinites,bentonites, and latex beads.
 5. A kit according to claim 4 wherein thedetectable moiety comprises colloidal gold.
 6. A kit according to claim1, wherein the saturation assay is an agglutination immunoassay and theprimary trapping zone comprises a means for immobilizing an agglutinatedfraction.
 7. A kit according to claim 4, wherein the detectable moietyis agglutinable.
 8. A kit according to claim 6, wherein the primarytrapping zone comprises a capillary membrane of a pore size thatexcludes the agglutinated fraction.
 9. A kit according to claim 1,wherein the component for separating bound and unbound products of acompetitive binding step comprises a capillary membrane of a pore sizethat allows chromatographic separation of bound and unbound products onthe basis of particle size.
 10. A kit according to claim 1, wherein thesecondary trapping zone comprises a component to immobilize andconcentrate a free fraction of labelled analyte-binding reagent
 11. Akit according to claim 10, wherein the secondary trapping zone comprisesa capillary membrane of a pore size that excludes unagglutinatedlabelled reagent.
 12. A kit according to claim 11, wherein the secondarytrapping zone comprises an immobilized analyte-binding reagent or ligandor other cognate binding partner.
 13. A kit according to claim 1,further comprising: a. a hub to which two or more analyte-analoguemoieties are bound; and b. two or more labelled analyte-binding reagentscapable of binding said analyte-analogue moieties.
 14. A kit accordingto claim 1, further comprising: a. a hub to which two or moreanalyte-binding reagents are bound; and b. a signal particle comprisingtwo or more analyte-analogue moieties capable of binding saidanalyte-binding reagents.
 15. A kit according to claim 1, furthercomprising at least one components selected from the group consistingof: buffers, application means, instructions, charts, desiccants,control samples, dyes, batteries, and signal processing/display means.16. A kit according to any of claims 13, wherein the pore size upstreamof the primary trapping zone is sufficient to allow free movement of thehub, labelled reagent, sample and any agglutinate.
 17. A device forperforming a saturation agglutination assay for detection of an analytewithin a sample, the device comprising a carrier having a proximal endfor receiving a sample, and a distal end toward which a sample maytravel along the carrier, wherein the carrier comprises: a. a primarytrapping zone comprising means which exclude an agglutinated fraction;and b. a secondary trapping zone comprising a component which excludes alabelled reagent.
 18. A device according to claim 17, wherein thecarrier is porous.
 19. A device according to claim 18 wherein theprimary and/or secondary trapping zones comprise a capillary membrane ofa pore size that excludes an agglutinated fraction or labelled reagent,respectively.
 20. A kit comprising a device of claim 17.